Provider Demographics
NPI:1902102783
Name:FRAY, DAVID FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANKLIN
Last Name:FRAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 VIA RAVELLO
Mailing Address - Street 2:APT 210
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3096
Mailing Address - Country:US
Mailing Address - Phone:808-352-3125
Mailing Address - Fax:
Practice Address - Street 1:7500 CAMBRIDGE ST
Practice Address - Street 2:SUITE 5330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2032
Practice Address - Country:US
Practice Address - Phone:713-486-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31322122300000X
AR3367122300000X
OK40251223G0001X
NY055446122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice